tci Medicare Compliance & Reimbursement - 2008 Issue 3

ASCs: It's OK To Collect From Medicare For Brachytherapy

New Medicare clarification offers good news for ambulatory surgery centers Just before 2007 ended, CMS offered ambulatory surgery centers a New Year's surprise -- ending rampant speculation about whether ambulatory surgery centers (ASCs) can bill Medicare for brachytherapy services that their physician-owners order and that their ASC provides. The confusion existed "because brachytherapy sources are subject to the Stark self-referral prohibition as a radiation therapy supply that, under the new ASC payment system, will be reimbursed separate from the ASC facility fee and, thus, will not be eligible for the exception to the Stark law for facility fee items...

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